Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 4 , Pages 468-473 , April 2006

Expiratory Muscle Strength Training in Persons With Multiple Sclerosis Having Mild to Moderate Disability: Effect on Maximal Expiratory Pressure, Pulmonary Function, and Maximal Voluntary Cough

Presented as poster presentations to the University of Florida Women’s Health Research Day, March 2003, Gainesville, FL; the University of Florida College of Public Health and Health Professions Graduate and Faculty Research Forum, April 2003, Gainesville, FL; the European Committee for Treatment and Research in Multiple Sclerosis, September 2003, Milan, Italy; and the American Physical Therapy Association Combined Section Meeting, February 2004, Nashville, TN; and as an oral presentation to University of Florida Graduate Student Forum, March 2003, Gainesville, FL.

  • Toni Chiara, PhD, PT

      Affiliations

    • Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL
    • Corresponding Author InformationCorrespondence to Toni Chiara, PhD, PT, BRRC Malcom Randall VA Medical Center (151A), 1601 SW Archer Rd, Gainesville, FL 32608. Reprints are not available from the author.
    • ,
  • A. Daniel Martin, PhD, PT

      Affiliations

    • Physical Therapy Department, College of Public Health and Health Professions, University of Florida, Gainesville, FL
    • ,
  • Paul W. Davenport, PhD

      Affiliations

    • Physiological Sciences Department, College of Veterinary Medicine, University of Florida, Gainesville, FL
    • ,
  • Donald C. Bolser, PhD

      Affiliations

    • Physiological Sciences Department, College of Veterinary Medicine, University of Florida, Gainesville, FL

  • Image Result

    (A) Labeled phases of cough wave: inspiratory phase, compression phase (minimal flow phase), and expiratory phase. (B) Measured components of cough wave: 1, rise-time (from the end of compression phas

    (A) Labeled phases of cough wave: inspiratory phase, compression phase (minimal flow phase), and expiratory phase. (B) Measured components of cough wave: 1, rise-time (from the end of compression phase to the peak of expiratory flow during the expiratory phase); 2, cough expiratory airflow peak amplitude.

  • Image Result
    Change in MEP from pretrain through to detrain. Significant difference was found between the MS (○) and healthy (▴) groups and across assessments: pretrain to posttrain (⁎) and pretrain to detrain (†)

    Change in MEP from pretrain through to detrain. Significant difference was found between the MS (○) and healthy (▴) groups and across assessments: pretrain to posttrain (⁎) and pretrain to detrain (†). Significant at P<.05.

  • Image Result
    Change in PEF from pretrain through to detrain. Significant difference was found between the MS (○) and healthy (▴) groups and across assessments: pretrain to posttrain (⁎) and pretrain to detrain (†)

    Change in PEF from pretrain through to detrain. Significant difference was found between the MS (○) and healthy (▴) groups and across assessments: pretrain to posttrain (⁎) and pretrain to detrain (†). Significant at P<.05.

 Supported by the Physical Therapy Department, University of Florida, for purchase of equipment and reimbursement for mileage to travel to recruit, assess, and train subjects.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(06)00030-X

doi: 10.1016/j.apmr.2005.12.035

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 4 , Pages 468-473 , April 2006

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